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Enhancing Healthcare Through Deeming and Coordination Strategies

This workgroup, chaired by Paul Tang in March 2013, focuses on demonstrating high performance or improvement in key health areas like breast and colon cancer screenings, influenza vaccinations, and smoking cessation. It aims to reduce disparities and improve care coordination by leveraging health IT tools such as CPOE, CDS, and patient education. Open questions include alignment with CAHPS and the role of public health in this initiative.

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Enhancing Healthcare Through Deeming and Coordination Strategies

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  1. Meaningful Use WorkgroupDeeming SubgroupPaul Tang, Chair March 19, 2013

  2. Deeming Demonstrate high (top 30 percentile) or improved performance (20% reduction of gap between last year's performance and top quartile): • Prevention of high priority disease (pick 2) • Breast cancer (mammography screening) • Colon cancer (colonoscopy screening) • Influenza (flu vax) • Pneumonia (pneumococcal vaccine) • Smoking (smoking screening and follow up) • Obesity (BMI screening and follow up) • Cardiovascular disease (LDL screen) • HTN (BP screen and follow up) • Control of high priority chronic health condition (pick 2 from) • HTN (BP control or improvement) • Diabetes (A1c control) • Heart attack (LDL control) • Asthma (controller med) • CHF (ACEI or ARB meds) • MI (beta blocker) • Care coordination • Close the referral loop • Disparities • Pick 2 high priority conditions (from #1 or 2) and stratify population report by disparity variables

  3. Items Deemed If good performer or improver, then deemed in satisfaction with:  • Demographics • CPOE • CDS • eRx • Structured labs • Patient lists • Reminders • Electronic notes • Test tracking • Clinical summary • Patient education • VDT • Secure patient messaging • Reconcile problems, meds, allergies

  4. Open Questions • Alignment with CAHPS? • http://cahps.ahrq.gov/clinician_group/cgsurvey/abouthealthinformationtechnologyitemset.pdf • http://cahps.ahrq.gov/clinician_group/cgsurvey/aboutpatientcenteredmedicalhomeitemset.pdf • Public health?

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